The Hilltop on Main
Nursing Home Facility
1015 N Main, Meridian, TX 76665
The Hilltop on Main is a senior care community located in Meridian, TX. It provides nursing home care and senior living for older adults in the Meridian area. To learn more or schedule a tour, call (254) 435-2357.
The Hilltop on Main is licensed for 94 beds, about typical for the area, where senior care communities in Bosque County average about 87 beds.
Federal reporting puts occupancy at about 29% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Bosque County average of roughly 52%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in March 2026 and recorded 6 deficiencies.
Residents receive about 2.8 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 50%.
The community is located in Bosque County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 15 problems at The Hilltop on Main. 3 findings involved harm to a resident, including 3 that put residents in immediate danger. 5 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $29,243.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, widespread
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, widespread
Nursing and Physician Services
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Post nurse staffing information every day.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
The Hilltop on Main offers nursing home care and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 94
- Occupancy 29%
- Nursing hours per resident/day 2.8
- Annual staff turnover 50%
- Last health inspection March 2026
Resident & family reviews
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